Artwork

Content provided by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
Player FM - Podcast App
Go offline with the Player FM app!

Asthma (Deep Dive R13 MW)

24:09
 
Share
 

Manage episode 379899905 series 3380524
Content provided by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
* Focused Physical Exam
* Tachypnea and Hypoxemia
* Able to speak in complete sentences
* Accessory muscle use/retractions
* Moving air or quiet on auscultation
* Basic Treatment Algorithm
* Albuterol Inhaler
* Albuterol/Ipratropium Nebulized (Duoneb)
* Steroids
* IV Magnesium
* Non Invasive Ventilation (CPAP or BiPAP)
* Decreases Work of Breathing
* Epinepherine
* Less Common Treatments
* Benzodiazepines
* Ketamine
* Heliox
* Intubation (Last resort)
* Use a large ETT (8.0)
* Increase the Expiratory Time
* “Permissive Hypercapnea”
* Appropriate ventilator management of asthma frequently results in mild hypercapnia and respiratory acidosis. IT’S OK
* Air Trapping
* Results in decreased preload, obstructive shock and pneumothorax
* Suspect with high airway pressures and when waveform doesn’t return to zero (see media)
* Treat by briefly unhooking ventilator and gently pressing on the patient’s chest to get out the trapped air
* Ventilator Settings
* Decrease the respiratory rate (ex 10)
* Increase the tidal volume (although some hypercapnia is permitted)
* Increase I:E ratio (1:4 or greater)
  continue reading

236 episodes

Artwork
iconShare
 
Manage episode 379899905 series 3380524
Content provided by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
* Focused Physical Exam
* Tachypnea and Hypoxemia
* Able to speak in complete sentences
* Accessory muscle use/retractions
* Moving air or quiet on auscultation
* Basic Treatment Algorithm
* Albuterol Inhaler
* Albuterol/Ipratropium Nebulized (Duoneb)
* Steroids
* IV Magnesium
* Non Invasive Ventilation (CPAP or BiPAP)
* Decreases Work of Breathing
* Epinepherine
* Less Common Treatments
* Benzodiazepines
* Ketamine
* Heliox
* Intubation (Last resort)
* Use a large ETT (8.0)
* Increase the Expiratory Time
* “Permissive Hypercapnea”
* Appropriate ventilator management of asthma frequently results in mild hypercapnia and respiratory acidosis. IT’S OK
* Air Trapping
* Results in decreased preload, obstructive shock and pneumothorax
* Suspect with high airway pressures and when waveform doesn’t return to zero (see media)
* Treat by briefly unhooking ventilator and gently pressing on the patient’s chest to get out the trapped air
* Ventilator Settings
* Decrease the respiratory rate (ex 10)
* Increase the tidal volume (although some hypercapnia is permitted)
* Increase I:E ratio (1:4 or greater)
  continue reading

236 episodes

All episodes

×
 
Loading …

Welcome to Player FM!

Player FM is scanning the web for high-quality podcasts for you to enjoy right now. It's the best podcast app and works on Android, iPhone, and the web. Signup to sync subscriptions across devices.

 

Quick Reference Guide